Galiano Aluisio, Wolford Larry, Gonçalves João, Gonçalves Daniela
a Oral and Maxillofacial Surgery , Texas A&M University College of Dentistry, Baylor University Medical Center , Dallas , TX ; USA.
b Private Practice , Sao Paulo , Brazil.
Cranio. 2019 Mar;37(2):111-120. doi: 10.1080/08869634.2017.1386753. Epub 2017 Oct 27.
To evaluate treatment outcomes for patients with TMJ adolescent internal condylar resorption (AICR) treated by a specific surgical protocol, including: (1) Removal of bilaminar tissue surrounding the condyle, (2) Articular disc repositioning with Mitek anchor technique, and (3) Concomitant orthognathic surgery.
This study evaluated 24 AICR patients treated by the specific surgical protocol with clinical subjective and objective examinations and lateral cephalogram assessments for surgical changes and long-term outcomes.
Mean age at diagnosis was 16.5 years, and mean follow-up was 30.3 months. All 24 patients had significant reduction in TMJ pain, facial pain, and headaches, with improvement in jaw function, diet, and disability. Cephalometric analysis showed significant surgical changes but good long-term occlusal and skeletal stability.
Patients with AICR treated with the specific surgical protocol demonstrated good skeletal and occlusal stability as well as improvement in TMJ pain, headaches, jaw function, diet, and disability.
评估采用特定手术方案治疗的颞下颌关节青少年髁突内吸收（AICR）患者的治疗效果，该方案包括：（1）去除髁突周围的双层组织；（2）采用Mitek锚定技术进行关节盘复位；（3）同期进行正颌手术。
本研究对24例采用该特定手术方案治疗的AICR患者进行了临床主观和客观检查以及头颅侧位片评估，以观察手术变化和长期疗效。
诊断时的平均年龄为16.5岁，平均随访时间为30.3个月。所有24例患者的颞下颌关节疼痛、面部疼痛和头痛均显著减轻，颌功能、饮食和功能障碍均有所改善。头影测量分析显示手术有显著变化，但长期咬合和骨骼稳定性良好。
采用该特定手术方案治疗的AICR患者显示出良好的骨骼和咬合稳定性，以及颞下颌关节疼痛、头痛、颌功能、饮食和功能障碍的改善。
